With such a powerful title, it may seem as though Extreme Rules is one of the most brutal pay-per-view events WWE has on offer but this is only the case if the stipulations for each match is adhered to.
Unfortunately for last night's edition of the event, which took place at the Allstate Arena in Rosemont, Illinois, some of the WWE superstars showcasing their talent were not prepared to play by the rules despite the show's name.
When Sheamus challenged Dolph Ziggler to a 'Kiss Me Arse' match at Extreme Rules, many thought it was a laughable waste of what could have promised to be a highly-entertaining encounter between two of the most talented wrestlers of the WWE roster.
The stipulation however remained unchanged going into the match-up, but despite the loser supposedly agreeing to 'kiss the arse' of the victor, Sheamus looked startled after Ziggler had pinned him for the win and simply refused to do so.
Instead, The Celtic Warrior stooped to a low level quite literally as he sunk to his knees as Ziggler prepared for him to pucker up, only for the Irishman to deliver a low-blow which floored the master of the Zig Zag.
Following this, Sheamus proceeded to pull Ziggler by the hair towards him in a manner which meant he was the one to carry out the punishment and 'kiss the arse' of Sheamus.
Dublin-born Sheamus, refused to show any remorse for his actions after the match as his heel-based character continued to shine through.
He explained how he felt he achieved what he wanted to by reiterating how the likes of wrestlers such as Dolph Ziggler are not welcome within the WWE:
"It wasn't about winning or losing, it was about kissing someone's arse! Time and time again I have told the word that people like Dolph Ziggler does not belong in the WWE."
He continued: "It was about taking someone's self respect-away, it was about having someone get down on their hands and knees and degrade themselves..."
Seeing as Sheamus was able to get Dolph Ziggler to do this despite his loss, he clearly felt he was the real winner on the night.
This bending of rules was something which was also questioned during Seth Rollins' WWE World Heavyweight Championship Title defence match against Randy Orton.
Prior to the match, it was revealed that Orton would be banned from using his signature move, the RKO, but Rollins executed the move in a highly controversial manner, to secure his win over The Viper on Sunday night.
Although it was banned for the match, it was unclear as to who was and who was not able to use the RKO move, meaning that Rollins' win still stood despite the controversy.
Despite WWE still producing several highly-entertaining matches on the night, this twisting of stipulations does raise concerns over what exactly is 'extreme' if there are rules which are not adhered to during the matches.
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